Electronic Medical Records Fraud & Medical Malpractice

The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 invested over $2 billion to promote health information exchange and use of personal health information. The Healthcare Information and Management Systems Society (HIMSS) invested over $18 billion to measure the adoption and functionality of these healthcare changes including medical records (EMR). The results of these investments have been limited. Physicians don’t follow these rules, and health information exchange (HIE) which is meant to allow for the easy and secure communications of patient records remains inoperable.

The concept of this “big data” revolution has yet to show real improvements. Providers with access to timely electronic medical record data are beginning to show a competitive advantage, although the investments and risks are great.

Capsicum has years of experience auditing, assessing, investigating, and improving the technology and data making up the healthcare industry. We have identified fraud in medical records and images; analyzed nursing home videos for malpractice; and paid bitcoin for ransomware attacks. Our forensic technology experts work with providers, covered entities, business associates and their legal counsel to respond to breaches and assure compliance.

Whether in the context of HIPAA/HITECH, cyber and data breaches, OCR letters, we work on:

Projects which assess the compliance of HIPAA / HITECH

Computer forensic investigations

Strategic technology and incident/ disaster response plans

Network, data and infrastructure enhancements

Cyber security reviews

Data breach

Incident response

Penetration testing, code review, cloud security & more

Security awareness training & tabletop exercises

Civil and criminal litigation

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Capsicum Group, LLC is a consulting company dedicated to helping organizations achieve success with complex legal, regulatory and technology projects.